<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label for="c-name" class="control-label col-xs-12 col-sm-2">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" data-rule="required" class="form-control" name="row[name]" type="text" value="{$row.name}">
        </div>
    </div>
    <div class="form-group">
        <label for="c-level" class="control-label col-xs-12 col-sm-2">{:__('Level')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-level" data-rule="required" class="form-control" name="row[level]" type="number" value="{$row.level}">
        </div>
    </div>
    <div class="form-group">
        <label for="c-bonus" class="control-label col-xs-12 col-sm-2">{:__('Bonus')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-bonus" data-rule="required" class="form-control" name="row[bonus]" type="number" value="{$row.bonus}">
        </div>
    </div>
    <div class="form-group">
        <label for="c-onegrade" class="control-label col-xs-12 col-sm-2">{:__('Onegrade')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-onegrade" data-rule="required" class="form-control" name="row[onegrade]" type="number" value="{$row.onegrade}">
        </div>
    </div>
    <div class="form-group">
        <label for="c-twograde" class="control-label col-xs-12 col-sm-2">{:__('Twograde')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-twograde" class="form-control" name="row[twograde]" type="number" value="{$row.twograde}">
        </div>
    </div>
    <div class="form-group">
        <label for="c-threegrade" class="control-label col-xs-12 col-sm-2">{:__('Threegrade')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-threegrade" class="form-control" name="row[threegrade]" type="number" value="{$row.threegrade}">
        </div>
    </div>
    <div class="form-group">
        <label for="c-fourgrade" class="control-label col-xs-12 col-sm-2">{:__('Fourgrade')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-fourgrade" class="form-control" name="row[fourgrade]" type="number" value="{$row.fourgrade}">
        </div>
    </div>
    <div class="form-group">
        <label for="c-fivegrade" class="control-label col-xs-12 col-sm-2">{:__('Fivegrade')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-fivegrade" class="form-control" name="row[fivegrade]" type="number" value="{$row.fivegrade}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
